Renal-PATH – Promoting Access to Therapy at Home for End Stage Kidney Disease

Project Area: Health service and technology evaluation

Project Summary

An ageing population with increased comorbidities is leading to an increasing incidence of Chronic Kidney Disease globally, and a projected consequent rise in numbers needing haemodialysis treatment for End Stage Kidney Disease. To relieve the significant pressures on hospital-based haemodialysis services, staffing and infrastructure, the expansion of home dialysis therapies – peritoneal dialysis (PD) and home haemodialysis (Home HD), has been identified as a priority internationally by the International Society for Peritoneal Dialysis. Given that clinical outcomes are broadly equivalent for hospital-based and home-based dialysis therapies, international consensus highlights that there is no objective reason to explain low PD and HHD rates, suggesting cultural, organisational, and systemic explanations for the default choice for in-hospital haemodialysis. Evidence is required to overcome these multi-level barriers to increase uptake of home dialysis therapies, and there are currently a number of unknowns; the effectiveness of system processes of care for home dialysis therapies, the upstream and downstream costs to the health system and the patient, and patient and healthcare provider experiences of accessing home dialysis. This project aims to increase uptake of home dialysis therapies by identifying a model of care for home dialysis therapies in Ireland that is acceptable and feasible to patient and provider interest-holders.

Skills Required

(If applying for this project you will be asked to outline how you meet the skills required below)

“Essential

  • Expertise professionally and/or research experience in Nephrology, or with End Stage Kidney Disease patients
  • Evidence of peer-reviewed research publications
  • Experience in scoping review or systematic review methodology
  • Qualitative research methods skills

Desirable

  • Group facilitation skills
  • Experience with Patient and Public Involvement (PPI) in health research

 

Supervisory team:

Dr Lisa Mellon, PI/Primary Supervisor,
Department of Health Psychology, School of Population Health, RCSI

Dr Barbara Clyne, Senior Lecturer, Department of Epidemiology and Public Health, School of Population Health, RCSI

Dr Elaine Toomey, Lecturer in Evidence Based Healthcare, University of Galway

Dr Carol Traynor, Consultant Nephrologist Beaumont Hospital / RCSI Senior Clinical Lecturer

This project will be based in RCSI, University of Medicine and Health Sciences.

 

Submit Application